Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | MADISON MEDICAL, LLC |
License Number | 16-E-7729 |
Facility Type | DME Supplier |
Address |
115 W MAPLE ST |
City, State, Zip | FAIRFAX,OK 74637 |
Country | |
Issue Date | 11/01/2022 |
Renewed Date | 12/13/2024 |
Expiration Date | 12/31/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |